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At a hospital in Birmingham, he used another patient's blood to pass off as his own and gain employment.

Queen's Medical Centre (Image: Nottingham Post)

And he submitted his own blood for testing under the name of another HIV infected patient for confirmation that he had the immune disorder.

His cover-up over the blood and documentation landed him in Nottingham Crown Court, where Judge Stuart Rafferty QC told him his actions were selfish, because they were fuelled by his own self-interest.

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"People have been placed in fear that, because of contact with you, they may have become infected and, no doubt, as you have over the years when you tested, waiting for their result is an agonising process," he said at Nottingham Crown Court.

Two patients identified by NHS England as potentially having been at risk, because Nyary operated on them, spoke of their anxiety and stress in victim impact statements.

"Fortunately the people concerned were tested and it was days of anxiety, not weeks or months, but clearly it would have been a very stressful time," said Rebecca Herbert, prosecuting.

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She said the doctor's offending started with a vaccination report showing he had tested negative for HIV in 2010.

But when he applied for a position with Nottingham University Hospitals Trust in 2013, the married doctor submitted the report but changed the date from 2010 to 2012, the night before his interview.

He started working at NUH the same year, as an orthopedic fellow.The court heard there was no evidence he was HIV positive at the time. He told police in interview he believed he needed a more up-to-date report than he had.

GV of Nottingham Crown Court

The same year, he had left Nottingham for a job at Birmingham Heartlands Hospital.

There he submitted his own blood for testing under the name of an HIV-positive patient by accessing a hospital computer, a move police believe was for confirmation of his condition after he had taken a positive test at home in November 2015.

Nyary also used someone else's log-in details to access and make the submission, viewing the results with another person's log-in details.

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The laboratory very quickly picked inconsistencies with his samples and the patient's.

"That is what sparked the investigation into finding who had submitted the second blood test, who was on duty, who could have logged in; both to submit it and to access the results," said Mrs Herbert.

"It very quickly became clear that this man was the man who was on duty at the right places at the right time."

An investigation was launched. Meanwhile, the doctor went to London-based ED Staffing.

Detective Constable Carl Miller told the Post Nyary lied to the agency that he was fit to work and got a job at Lincoln Hospital's accident and emergency department between March and December 2016.

"There was a further investigation," said Mrs Herbert. "Clearly, he was spoken to again, suspended as it became clear his HIV status had been falsely declared in order for him to get these locum positions.

"It is right to say and, I think it is fair to say, that it is the case that it is not necessarily so that someone who is HIV positive can't have clearance."

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Patients the doctor had worked with were pinpointed between 2010 and 2016. He had been employed at 24 hospitals during that time; 397 were patients identified as having been at risk during that time, said Mrs Herbert.

The evidence suggested he was unlikely to be HIV positive for all of that period, the court heard, as he said he tested positive in November 2015.

Aged 45 and with no previous convictions, he qualified as a doctor in Hungary, working in the UK for a number of years.

Richard Posner, mitigating, said his client's interview gave an insight into why he had behaved in this way.

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Nyary was asked by a police officer why he had not declared the matters, pointing out he could have carried on in a different role.

"His reply was 'well, in theory I probably was aware, it's just because it is all the stigma," said Mr Posner.

And he still feels the stigma. Mr Posner explained: "The way he thinks or believes people would feel about the homosexuality and the HIV infection, are something that are deep rooted in him and appear to have been a very significant contribution to him behaving in this way. It is irrational behaviour.

"As I say, he could have continued to work. He may have been able to continue doing this sort of procedure. You have seen the level of viral infection was very low indeed."

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Judge Rafferty told Nyary: "Mr Posner was right to say that to some extent, because of your embarrassment and because of the much more draconian society from which you came, revealing your homosexuality and revealing even the risk that you might be HIV positive was a step that you simply could not contemplate taking.

"What has to be said on the other side, however, is that this was a course of dishonesty that went on for some years, beginning by you before you were certain you were HIV positive and continued afterwards".

Nyary, of Redcliffe Road, Mapperley Park, pleaded guilty to forgery and using a false instrument [regarding the vaccination report]; causing a computer to perform a function to secure unauthorised access to a programme or data twice; fraud; and twice using a false instrument.